Provider Demographics
NPI:1083196372
Name:GARZA, NATASHA RICHELLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:RICHELLE
Last Name:GARZA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1920 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77414-7704
Mailing Address - Country:US
Mailing Address - Phone:979-479-5244
Mailing Address - Fax:
Practice Address - Street 1:1920 BAYWOOD DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:TX
Practice Address - Zip Code:77414-7704
Practice Address - Country:US
Practice Address - Phone:979-479-5244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-03
Last Update Date:2018-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX716384163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse